MEDizzy - A 25-year-old woman comes to her physician complaining of

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FEMALE REPRODUCTIVE DISORDERS

A 25-year-old woman comes to her physician complaining of pain with intercourse and dysmenorrhea that worsens one-two days before her period starts. Ultrasonography reveals unilateral adnexal masses, and laparoscopy shows reddish-brown cysts on the ovaries. This patient is at increased risk for developing which of the following conditions?

ExplanationThe correct answer is B. A blood-filled cyst (a so-called chocolate cyst) is characteristic of endometriosis, a condition that results in nonneoplastic endometrial glands/stroma being abnormally located outside the endometrial cavity. The ovary and the pelvic peritoneum are the most common sites. The cysts are formed during cyclic bleeding from the tissue, mimicking menstruation. Severe menstrual related pain (dysmenorrhea), pain during sexual intercourse (dyspareunia), and infertility are possible complications of endometriosis